| NPI | 1669954681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MICHAEL BURCHETT Owner/PIC 502-592-2394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P08016) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2021-09-27 |